PBM Financial Account Operations Specialist

PBM Financial Account Operations Specialist

Virtual:
This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Carelon Rx is a proud member of the Elevance Health family of companies. Carelon Rx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health.

The Financial Account Operations Specialist is responsible for performing diverse operational financial and policy activities of a non-routine nature. Interprets and communicates departmental and organizational policies and procedures.

How you will make an impact:

• Manages Rx Guarantee EFT/check payment process and coordinates monthly/quarterly payment processing and approvals.
• Partners with Accounts Payable, Treasury, S/AM, and Finance.
• Responds to customer payment inquiries, tracks payment status and resolves issues.
• Receives, validates and enters information into Finance systems and maintains audit documentation and payment records.
• Adheres to maintained internal controls and tracking reports for reconciliations and analysis.
• Monitors and updates controls to ensure compliance.
• Conducts independent analysis for the purpose of resolving complex and varied work process issues.

Minimum Qualifications:

• Requires H.S. Diploma or equivalent and minimum of 4 years relevant work experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• PBM Billing experience.
• Experience with Microsoft Excel.
• Experience with financial controls.
• AA Degree in Accounting.

For candidates working in person or virtually in the below location(s), the salary
* range for this specific position is $20.82 - $37.81/hour.

Locations:
Columbus, OH;
Virginia

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

Job Level: Non-Management Non-Exempt

Workshift:
Job Family: AFA >
Financial Operations